In collaboration with Public Health Scotland, Nesta, an innovation agency for social good, has today published two key publications which explore how Scotland’s planning system can be used to create healthier food environments and support efforts to reduce obesity and health inequalities.
The two publications are:
‘Planning for Healthier Communities – Opportunities in the Scottish Planning System’ (research report)
‘The role of Local Development Plans (LDPs) in shaping healthier food environments across Scotland’ (supporting briefing)
These resources draw on research, stakeholder engagement, and lessons learned to recommend practical steps for integrating food environment policies into the local planning system.
Around two thirds of adults in Scotland are living with overweight or obesity, and one in three children starting primary 1 are at risk of overweight or obesity, with rates significantly higher in more deprived areas.
Recent modelling also projects substantial increases in overweight by 2040. The need for change is evident and reducing overweight and obesity is a key priority in Scotland’s Population Health Framework.
Historically, planning policies in Scotland have rarely addressed food environments or obesity directly. But now, the Scottish Government’s National Planning Framework 4 (NPF4) and Local Development Plans (LDPs) provide an opportunity to change that. LDPs are currently in preparation stage, with decisions taken over the next two to three years shaping Scotland’s food environment for the next decade.
Many organisations, including local authorities and health boards, play a key role in the planning process. These new publications outline key stages and priority areas where public health professionals can contribute and influence the development of plans, such as:
providing local health data and expertise to support the case for food environment policies
focussing on health inequalities and areas where unhealthy food environments and obesity rates are highest
building stronger collaborations between planning and public health to gather evidence and advocate for change
Claire Hislop RNutr (Public Health), Organisational Lead – Food and Physical Activity, Public Health Scotland, said: “Scotland’s current food environment often fails to support healthy eating. This is particularly evident in communities with higher deprivation and where access to affordable, nutritious food can be limited.
“Improving Scotland’s food environment requires a package of measures; utilising the planning process as part of this is both necessary and possible.
“In particular, Local Development Plan preparation offers a unique, but time limited, opportunity to contribute to creating communities that enable and promote healthier food options – for years to come.”
Frances Bain, Mission Manager, Nesta, added: “Nesta were delighted to partner with Public Health Scotland on this research which was carried out through a residency placement and explored the potential to use the planning system to influence healthier food environments.
“Thanks to all the local and national stakeholders who participated in the research and in particular Dr Meadhbh Maguire for leading the work.
“We have been able to outline the opportunities and challenges that exist when considering new planning policies relating to the food environment and highlight the role that local development plans can play in supporting public health.”
Minister thanks NHS staff for their work supporting mothers
More than half of all babies in Scotland are now breastfed at 6 – 8 weeks, the first time this has been achieved since records began in 2002.
Latest Public Health Scotland Infant Feeding statistics for 2024-25 show that at the time of the 6-8 week review, 51% of babies were being breastfed – 34% exclusively and 17% a mixture of formula and breastfeeding. Inequalities are reducing – the numbers demonstrate that breastfeeding rates among those from the most deprived areas and younger mothers continue to increase.
The new rates mean the Scottish Government has met the commitment to reduce the drop off in breastfeeding rates at the 6-8 week point by 10% by 2025.
The figures also reveal that 69% of newborns were breastfed for at least some time after birth (up 6% from 2016-17) – this includes an 11% increase in the most deprived areas, from 47% to 58%.
Minister for Public Health Jenni Minto said: “I welcome the news that so many babies in Scotland are now being breastfed. We will continue to protect, promote and support breastfeeding to give all babies the best nutritional start in life and to support families with their infant feeding choices as we know breastfeeding may not be possible for everyone.
“Of course, mothers benefit from support to breastfeed – from their families of course, but I also want to thank all the healthcare staff and their partner organisations who work tirelessly to educate and encourage new mums to achieve their breastfeeding goals.
“The Scottish Government has targeted an additional £11 million over the past seven years towards breastfeeding support. This extra funding has now been transferred to Health Boards so they can adapt their plans to suit local needs and it is particularly pleasing to see breastfeeding rates in the most deprived areas increasing.
“We have also seen good progress in Health Boards implementing the UNICEF UK Baby Friendly standards as a strong foundation for this work.
“Rates have increased in all Health Board areas since 2012/13 and we will keep building on this success as part of our continuing efforts to improve the health of the nation.”
The programme protects those most at risk from severe illness
The First Minister has urged all those eligible for a flu vaccination this year to take up the offer as he received his in Edinburgh.
Getting the flu vaccine is extremely important for those who are most vulnerable to the virus to protect them from severe illness and in some cases, death. Eligible groups include people 65 years and older, pregnant women and those with certain health conditions.
Unpaid carers and health and social care staff are also eligible as the vaccine helps prevent transmission of the virus so helps protect those they are caring for.
The flu virus is always changing and the vaccination offers the best protection against the strains circulating each winter. Getting vaccinated ahead of the peak festive season is important to allow time for your body to build up protection against the virus.
First Minister John Swinney qualifies for a flu vaccine as an unpaid carer. Attending the NHS Lothian centre at Edinburgh’s Ocean Terminal he said: “I welcome the chance to receive my flu vaccine and I want to thank all those involved in this year’s roll-out.
“Since the start of this year’s programme, staff have delivered more than 980,000 flu vaccines to those most at risk and, with flu cases rising, I would encourage all those who are eligible to take up an appointment ahead of the worst of winter.
“We saw very high levels of the flu virus last year across Scotland, with over 6,500 adults being hospitalised, which contributed to real pressure on the NHS. So please take the opportunity to protect yourself and those around you and reduce your risk of ending up in hospital.”
Appointments for a flu vaccine will be sent to most eligible groups. Unpaid carers and household contacts of those who are immunosuppressed can book online or call the vaccination helpline to arrange an appointment at a suitable time and location anywhere in Scotland.
More information on the flu vaccine is available at NHS Inform:
Findings from a paper published in the medical journal, Eurosurveillance, show that fully vaccinated children aged 8 weeks to 17 years were 69% less likely to be hospitalised with whooping cough (pertussis).
The study, which looked at the impact of vaccination on whooping cough-related hospital admissions in children between January 2013 – July 2024, demonstrates the significant protective effect of this childhood vaccination. Being fully vaccinated for their age also reduced the risk of whooping cough-related hospital stays in babies aged 8 weeks to 1 year by 88%.
Whooping cough is a highly contagious bacterial infection of the lungs and airways, and this latest evidence confirms that unimmunised infants are more likely to develop complications which can require hospital treatment.
The study also found lower vaccine uptake in deprived areas, highlighting the need to focus efforts on addressing the persistent health inequalities that leave some communities more vulnerable with others.
Dr Sam Ghebrehewet, Head of Vaccination and Immunisation Division, PHS said:“This important study clearly highlights the remarkable power of vaccinations to protect children from serious and potentially life-threatening diseases like whooping cough.
“By ensuring children are fully vaccinated, we can dramatically reduce hospitalisations and complications, safeguarding their health and giving families peace of mind.
“Getting immunised during pregnancy is the best way to protect your baby in the first few vulnerable weeks of their life. All pregnant women are eligible for the whooping cough vaccine from week 16 of their pregnancy. The ideal time to get it is between weeks 16 and 32. The whooping cough vaccine is recommended every time you’re pregnant, even if you’ve had the vaccine before.
“It is also extremely important that parents or carers ensure their babies get their whooping cough vaccine which is given at 8, 12 and 16 weeks as part of the 6-in-1 vaccine.”
Pregnant women are encouraged to speak to their midwife about getting the whooping cough vaccine; and you can find more about pregnancy and baby immunisations: www.nhsinform.scot/pregnancyandbabyvaccines
Parents are encouraged to contact their local NHS Immunisation team to arrange for their children to get vaccinated if they have missed any doses. Contact details can be found at www.nhsinform.scot/gettingvaccinations or by calling 0800 22 44 88.
If you have any concerns about symptoms of whooping cough, speak to your GP practice or phone 111.
An encouraging new study by Public Health Scotland, in collaboration with the Universities of Edinburgh and Strathclyde, confirms the human papillomavirus (HPV) vaccine provides strong and sustained protection against cervical disease that can develop into cancer.
Data from the study, published in International Journal of Cancer today, show that the HPV vaccine provides protection when administered to girls aged 18 years or less, with the greatest benefits seen in girls vaccinated at age 12-13.
Previous studies have shown that the HPV vaccine is highly effective in preventing the development of cervical pre-cancer and cancer. This study using population health data, shows that the vaccine continues to be effective more than 12 years after it was given, in women who came forward for cervical screening.
The research also shows women from Scotland’s most deprived areas benefited the most from vaccination, helping to reduce health inequalities.
HPV is a common virus, usually spread through sexual contact, and responsible for almost all cases of cervical cancer – the fourth-most common cause of cancer in women worldwide. Scotland’s routine cervical cancer screening programme and the HPV immunisation programme, introduced in 2008, work together to both reduce the prevalence of HPV and the development of cervical pre-cancer and cancer among women.
The HPV vaccine is offered as a routine immunisation through schools to all S1 pupils in Scotland. It also helps to protect both boys and girls from genital warts and other HPV-related cancers that can develop later in life, such as some head and neck cancers, and other anogenital cancers.
Dr Kirsty Roy, Consultant in Public Health, Public Health Scotland said: “This study showcases both the effectiveness and impact of the HPV vaccine in preventing cervical disease, especially as the strong community protection demonstrated by the data may also be contributing to reductions in cervical disease among women in more deprived areas where vaccine uptake is lower.
“Vaccination against HPV is effective in preventing cervical cancer and, along with regular screening for early detection and treatment, it is possible to make cervical cancer a rare disease.
“I would encourage all S1 pupils in Scotland to take up the offer of the free HPV vaccine when it’s offered to protect themselves against future risks. PHS is working closely with Scottish Government and local health boards to ensure the continued uptake of the key cervical cancer prevention measures – the HPV vaccine and routine cervical screening.”
Dr Tim Palmer, University of Edinburgh, Scottish Clinical Lead for Cervical Screening (rtd), said: “This study shows conclusively that the HPV vaccine prevents the changes that can develop into cancer.
“It also emphasises the need for continued high uptake of the vaccine in schools as vaccination at older ages is much less effective. Screening is still important to prevent disease caused by HPV types not covered by the vaccine.”
New data shows 2.4 million rise in patient-GP surgery contact
Health Secretary Neil Gray underlined the Scottish Government’s commitment to shift the balance of care to community settings, as new data shows an increase in the number of times people have accessed care at their GP surgery.
Statistics released by Public Health Scotland yesterday show patients in Scotland had 33.98 million direct encounters with staff in General Practice between October 2024 and September 2025 – an increase of 2.4 million on the same 12-month period in 2023-24.
GP numbers have increased in Scotland and to make it easier for people to access GP services and support recruitment, the Scottish Government is investing an additional £531 million of newly agreed funding in General Practice over the next three years, subject to Parliament agreeing future budgets.
Health Secretary Neil Gray said: “We are determined to improve access to primary care, and I welcome these figures which show more people are accessing care at their GP surgery. I am grateful to our hard-working GPs and all practice staff for the care they provide.
“And while GP numbers have risen in Scotland over the last year, we have put a plan in place to go further.
“We have confirmed that we will invest £531 million over the next three years to significantly boost recruitment and help deliver the capacity needed to improve services for patients. This is the largest-ever investment in core GP services in Scotland.
“This will be supported by our commitment to open 15 new GP walk-in centres providing care from 12pm-8pm seven days per week, making it easier for people to get the care they need in a way that works for them.”
In Scotland, uptake of the MMR vaccine is falling.
Getting babies and children vaccinated is the safest and most effective way to protect them from vaccine-preventable diseases that could, otherwise, lead to serious illness.
Glasgow woman’s mission to tell others: ‘Never miss your breast screening appointment
A retired member of NHS Greater Glasgow and Clyde staff, Liz Thomas (71) from Pollock, has been photographed as part of an exhibition to celebrate the resilience, beauty, and strength of women affected by breast cancer.
Liz and three other women chosen for the photoshoot have recently had or are undergoing treatment for breast cancer. They were chosen to be part of Pink Ribbon Foundation’s BOLD Scotland Exhibition.
This extraordinary project, captured by award-winning photographer Caroline Sikkenk, is currently displayed in Glasgow’s Princes Square by M as part of Breast Cancer Awareness Month.
In addition to taking part in this project, Liz is also using this month to share an important message. She said: “Go for your breast screening when you’re invited.”
In November 2024, Liz attended her routine breast screening appointment at NHSGGC’s Breast Clinic in Nelson Mandela Place. Within a week, she was recalled and asked to bring someone with her.
“I wasn’t expecting good news,” Liz said. “They told me two lumps had been found. I had a biopsy and scans there and then. It turned out I had two Stage 3 tumours.”
Within four weeks, Liz underwent a mastectomy at Gartnavel Hospital, followed by chemotherapy and radiotherapy in early 2025.
“The treatment was tough, physically and mentally, but I met wonderful people along the way. The staff were incredible. We even managed to laugh during chemo. One time, the nurses joked they had to separate me from the other ladies because we were giggling so much. Laughter got us through.”
Liz credits her daughter Jourdana, also an NHSGGC staff member, as her rock throughout the journey. “I have a good life and a great life ahead. Who knows if I’d have that if I hadn’t gone for screening?”
Now, Liz is on a mission. She said: “I tell everyone, my daughter, my friends, even the girl who does my nails, never miss your breast screening appointment. And if you’re over 70, you won’t automatically get a letter. You need to contact the breast screening centre yourself.”
Women aged between 50 and 70 will be invited for breast screening every three years. Those eligible, will be invited by NHSGGC via letter to the address registered with their GP, and people are advised to ensure this is up to date.
Anyone over the age of 70, can make an appointment for breast screening directly via the breast screening service.
The BOLD Scotland exhibition is on display at Princes Square by M. Entry is free, giving everyone the opportunity to witness this inspiring and empowering project.
The Scottish Health Survey 2024 results, published yesterday, provide information on the health, and factors relating to health, of adults and children in Scotland.
Half of all adults now have at least one long-term condition, continuing the upward trend. Almost two in five adults (39%) reporting having a long-term condition that limits their activities.
Eight percent of adults report having doctor-diagnosed diabetes, the highest level recorded.
There has been a decrease in the proportion of adults eating five or more portions of fruit or vegetables per day, with only 11% meeting this guideline compared to 20% in 2021 when the questions were last included.
Food insecurity reduced with 8% of adults reporting being worried about running out of food due to a lack of money or other resources in the last 12 months, a decrease from 14% in 2023 which was the highest level recorded.
New questions on menopause and perimenopause showed that 76% of those who had experienced symptoms had utilised one or more ways of managing them. The largest proportions had utilised physical activity (40%), Hormone Replacement Therapy (HRT) (38%) and/or vitamins, minerals or supplements (35%).
New questions indicated that prevalence of possible eating disorders among adults, based on self-reported eating behaviours and feelings towards food,was 13%. This was highest among those aged 16-24 (26%).
Other key findings show that in 2024:
The proportion of adults who reported having felt lonely ‘most’ or ‘all of the time’ decreased from 10% in 2023 to 7% in 2024, similar to the proportion recorded in 2021 (8%).
Prevalence of doctor-diagnosed asthma amongst adults reached 18%, the highest proportion recorded.
Prevalence of any CVD (excluding diabetes or high blood pressure) remained in line with recent years at 16% of adults.
In 2023/2024 combined, 15% of adults reported being unpaid carers.
The proportion of adults with a GHQ-12 score of 4 or more, indicative of a possible psychiatric disorder, was 22%, similar to levels in 2021 and 2023 (22% and 21%) and lower than the peak in 2022 (27%).
In 2023/2024 combined, the prevalence of adults with two or more symptoms of depression was 10%, a decrease from 13% in 2021/2022 combined.
Seven per cent of adults reported currently having long COVID, consistent with 2023 (8%) and remaining higher than in 2021 (5%).
Around six in ten adults met the guidelines for moderate or vigorous physical activity (MVPA) (62%), a similar proportion as recorded in 2023 (63%).
The prevalence of hazardous or harmful alcohol consumption remained at 20% of adults, the same proportion as in 2023 and a decrease from 34% in 2003.
Almost a third of adults (31%) were living with obesity, a similar proportion to 2023 (32%), with a significantly higher proportion of females (35%) living with obesity compared with males (27%).
Fourteen per cent of adults were current smokers the same level as in 2023, maintaining the overall downward trend in prevalence recorded since 2003 (28%).
Current use of e-cigarettes or vaping devices (10%) remained in the range seen since 2022 (10%-12%).
Thirteen per cent of adults met the Scottish Dietary Goal for saturated fat of no more than 10% of energy excluding ethanol.
Less than a quarter (22%) of adults met the Scottish Dietary Goal of free sugars accounting for no more than 5% of energy excluding ethanol.
ASH Scotland calls for smoking cessation service funding transparency as survey shows stagnation of adult smoking rates
ASH Scotland is calling for the Scottish Government and NHS regional health boards to demonstrate increased transparency regarding funding being invested in smoking cessation services, which can help people to give up tobacco and reduce their risks of non-communicable diseases such as cancers, heart disease, type 2 diabetes, dementia and respiratory conditions including chronic obstructive pulmonary disease (COPD).
ASH Scotland’s call comes as the Scottish Health Survey 2024 findings published today (Tuesday 21 October 2025) by the Scottish Governent show that fourteen per cent of adults were currentsmokers, which is the same level as in 2023.
The charity is raising concern that the Scottish Government has not provided details of its annual funding to health boards specifically for smoking cessation services in 2025/26. The last publicly available figure regarding government annual funding to NHS health boards to deliver specifically smoking cessation services was £7,852,085 invested in 2021/22, a significant reduction from the £9,110,000 allocated in 2016/17.
Sheila Duffy, Chief Executive of ASH Scotland, said: “With tobacco continuing to be the biggest preventable killer in Scotland causing nearly 9,000 premature deaths each year, it is concerning that there is stagnation in the nation’s overall smoking rate, although we welcome the decrease from 26% down to 23% in our most deprived communities.
“The vast majority of people in Scotland who successfully give up smoking don’t use anything to aid their quit attempts, but it is vital that those who need behavioural support can benefit from NHS Scotland’s free person-centred specialist Quit Your Way services delivered by qualified health professionals which improves the chances of success by three to four times to reach a tobacco-free life and reduce the risk of cancers, heart disease, type 2 diabetes, dementia and chronic obstructive pulmonary disease (COPD).
“As the Scottish Government’s funding for smoking cessation services showed a downward trend between 2016/17 and 2021/22, and no details have been provided for 2025/26, ASH Scotland is calling for increased transparency by the government and regional health boards regarding funding for Quit Your Way services, which are needed to drive progress towards Scotland becoming a tobacco-free nation in 2034.”
The Scottish Health Survey 2024 main report, including a summary of key results, is available on the Scottish Health Survey website.